DIANA B BRAVO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049214474

License Status

NOT RENEWED

Business

First Name

DIANA

Middle

Last Name

BRAVO

Business Name

DIANA B BRAVO

Original Issue Date

11/08/2012

Effective Date

01/16/2018

Expiration Date

03/31/2019

City

ELGIN

State

Zip

60123

County

COOK

Ever Disciplined

LastModifiedDate

07/15/2019